Individual
LAURA GRACE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAAR
Contact information
Practice address
110 W K ST, SHELTON, WA 98584-2944
(360) 426-1696
(360) 427-0357
Mailing address
925 THOMAS AVE, SHELTON, WA 98584-2665
(360) 490-2723
(360) 427-0357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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